← Return to Did I miss something?

Discussion

Did I miss something?

Chronic Pain | Last Active: Jan 2 10:35am | Replies (18)

Comment receiving replies
@sueinmn

I just went through several drug Formularies for different insurance plans (I had these downloaded as I researched my insurance options for 2025) - some local, some national plus Medicare. Every single one lists "quantity limit" for all forms of oxycodone and other opioids.

Many here have experienced limits on their medications the past few years, but it is not because of the retailers - it is part of the government/insurance industry plan to reduce opioid overuse. Perhaps the regulators have begun auditing pharmacy records, and they have decided to follow the established guidelines.

Unfortunately, some people in chronic pain get caught in the crossfire. At this juncture, aside from being frustrated by "one size fits all" rules, you will need to work with your pain management doc to either get an exception (I don't know if this is possible) or create a new plan with an alternative med once a day or for breakthrough pain.

Jump to this post


Replies to "I just went through several drug Formularies for different insurance plans (I had these downloaded as..."

My pain doctor was able to get approval for fentanyl patches and 30 mg oxycodone for my recovery from cervical fusion surgery. My nerves at C7-8 were very irritated during surgery and I had the worst pain of my life in my left arm. It felt like it was on fire for 2 months. The meds were approved by a combination of Medicare and a supplemental plan with Aetna. (Not a Medicare Advantage plan) I don’t know what I would have done without those meds for 2 months.